Individual provider Active NPI

Karen Leann Kleker, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Huntington Beach, CA
National Provider Identifier
1891930707
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP17258 Issued in CA
Practice address
4911 Warner Ave
Suite 215
Huntington Beach, CA 92649-5177
Phone
(714) 357-3009
NPI assigned
Dec 5, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP17258 CA Primary

Addresses

Primary practice location

4911 Warner Ave
Suite 215
Huntington Beach, CA 92649-5177

Mailing address

4911 Warner Ave
Suite 215
Huntington Beach, CA 92649-5177
Phone (714) 357-3009

Other identifiers 1

IdentifierTypeStateIssuer
SP17258OtherCASPEECH LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SP17258CAMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280966400000",
    "number": "1891930707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4911 WARNER AVE",
            "address_2": "SUITE 215",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926495177",
            "telephone_number": "714-357-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 WARNER AVE",
            "address_2": "SUITE 215",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926495177",
            "telephone_number": "714-357-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEKER",
        "first_name": "KAREN",
        "middle_name": "LEANN",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-05",
        "last_updated": "2010-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP17258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH LICENSE",
            "identifier": "SP17258",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.